The State of Obamacare in Alabama 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 58%

All Individual Market Plans 36%

State Population with Few Insurance Choices One Exchange Insurer 4,849,377

Two Exchange Insurers 0 TOTAL 4,849,377

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%

The State of Obamacare in Alaska 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 29%

All Individual Market Plans 7%

State Population with Few Insurance Choices One Exchange Insurer 736,732

Two Exchange Insurers 0 TOTAL 736,732

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%

The State of Obamacare in Arizona 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 116%

All Individual Market Plans 54%

State Population with Few Insurance Choices

One Exchange Insurer 6,731,484 Two Exchange Insurers 0

TOTAL 6,731,484

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%

The State of Obamacare in Arkansas 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 2%

All Individual Market Plans 10%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in California 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 7%

All Individual Market Plans 14%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 2,083,972 TOTAL 2,083,972

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 47% TOTAL 47%

The State of Obamacare in Colorado 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Individual Medical By Geographic Region,” Colorado Division of Insurance, September 2016.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 20%

State Population with Few Insurance Choices One Exchange Insurer 160,679

Two Exchange Insurers 682,280 TOTAL 842,959

Counties with Few Insurance Choices3 One Exchange Insurer 22%

Two Exchange Insurers 45% TOTAL 67%

The State of Obamacare in Connecticut 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 17%

All Individual Market Plans 25%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 3,596,677 TOTAL 3,596,677

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Delaware 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 19%

All Individual Market Plans 31%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in District of Columbia 2017

District Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 22%

All Individual Market Plans 7%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 658,893 TOTAL 658,893

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Florida 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 14%

All Individual Market Plans 19%

State Population with Few Insurance Choices One Exchange Insurer 887,096

Two Exchange Insurers 5,452,556 TOTAL 6,339,652

Counties with Few Insurance Choices3 One Exchange Insurer 31%

Two Exchange Insurers 40% TOTAL#

#May not sum exactly due to rounding. 72%

The State of Obamacare in Georgia 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 15%

All Individual Market Plans 27%

State Population with Few Insurance Choices One Exchange Insurer 2,381,017

Two Exchange Insurers 3,197,479 TOTAL 5,578,496

Counties with Few Insurance Choices3 One Exchange Insurer 60%

Two Exchange Insurers 30% TOTAL 90%

The State of Obamacare in Hawaii 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 35%

All Individual Market Plans 31%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 1,419,472 TOTAL 1,419,472

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Idaho 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 24%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Illinois 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 43%

All Individual Market Plans 50%

State Population with Few Insurance Choices One Exchange Insurer 1,750,255

Two Exchange Insurers 3,583,841 TOTAL 5,334,096

Counties with Few Insurance Choices3 One Exchange Insurer 7%

Two Exchange Insurers 69% TOTAL#

#May not sum exactly due to rounding 75%

The State of Obamacare in Indiana 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 -3%

All Individual Market Plans 19%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 222,929 TOTAL 222,929

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 4% TOTAL 4%

The State of Obamacare in Iowa 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 25%

All Individual Market Plans 30%

State Population with Few Insurance Choices One Exchange Insurer 208,658

Two Exchange Insurers 1,152,091 TOTAL 1,360,749

Counties with Few Insurance Choices3 One Exchange Insurer 13%

Two Exchange Insurers 52% TOTAL 65%

The State of Obamacare in Kansas 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 42%

All Individual Market Plans 37%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 2,904,021 TOTAL 2,904,021

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Kentucky 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 24%

State Population with Few Insurance Choices One Exchange Insurer 1,482,652

Two Exchange Insurers 1,535,145 TOTAL 3,017,797

Counties with Few Insurance Choices3 One Exchange Insurer 49%

Two Exchange Insurers 43% TOTAL#

#May not sum exactly due to rounding. 93%

The State of Obamacare in Louisiana 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 17%

All Individual Market Plans 32%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Maine 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 15%

All Individual Market Plans 24%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Maryland 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 25%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Massachusetts 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 -3%

All Individual Market Plans 9%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Michigan 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 7%

All Individual Market Plans 17%

State Population with Few Insurance Choices One Exchange Insurer 8,171

Two Exchange Insurers 299,816 TOTAL 307,987

Counties with Few Insurance Choices3 One Exchange Insurer 1%

Two Exchange Insurers 17% TOTAL 18%

The State of Obamacare in Minnesota 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 59%

All Individual Market Plans 56%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 836,457 TOTAL 836,457

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 30% TOTAL 30%

The State of Obamacare in Mississippi 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 19%

All Individual Market Plans 16%

State Population with Few Insurance Choices One Exchange Insurer 1,648,198

Two Exchange Insurers 1,345,881 TOTAL 2,994,079

Counties with Few Insurance Choices3 One Exchange Insurer 61%

Two Exchange Insurers 39% TOTAL 100%

The State of Obamacare in Missouri 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 18%

All Individual Market Plans 28%

State Population with Few Insurance Choices One Exchange Insurer 2,246,043

Two Exchange Insurers 2,900,673 TOTAL 5,146,716

Counties with Few Insurance Choices3 One Exchange Insurer 84%

Two Exchange Insurers 14% TOTAL 98%

The State of Obamacare in Montana 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 44%

All Individual Market Plans 48%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in Nebraska 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 51%

All Individual Market Plans 33%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 1,881,503 TOTAL 1,881,503

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Nevada 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 6%

All Individual Market Plans 11%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 129,299 TOTAL 129,299

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 59% TOTAL 59%

The State of Obamacare in New Hampshire 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 2%

All Individual Market Plans 8%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in New Jersey 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 5%

All Individual Market Plans 9%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in New Mexico 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 29%

All Individual Market Plans 30%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 0 TOTAL 0

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 0% TOTAL 0%

The State of Obamacare in New York 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 17%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 210,940 TOTAL 210,940

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 5% TOTAL 5%

The State of Obamacare in North Carolina 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 40%

All Individual Market Plans 24%

State Population with Few Insurance Choices One Exchange Insurer 8,460,375

Two Exchange Insurers 1,483,589 TOTAL 9,943,964

Counties with Few Insurance Choices3 One Exchange Insurer 95%

Two Exchange Insurers 5% TOTAL 100%

The State of Obamacare in North Dakota 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 7%

All Individual Market Plans 2%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 25,455 TOTAL 25,455

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 8% TOTAL 8%

The State of Obamacare in Ohio 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 2%

All Individual Market Plans 17%

State Population with Few Insurance Choices One Exchange Insurer 781,327

Two Exchange Insurers 1,286,630 TOTAL 2,067,957

Counties with Few Insurance Choices3 One Exchange Insurer 23%

Two Exchange Insurers 31% TOTAL#

#May not sum exactly due to rounding. 53%

The State of Obamacare in Oklahoma 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 69%

All Individual Market Plans 76%

State Population with Few Insurance Choices One Exchange Insurer 3,878,051

Two Exchange Insurers 0 TOTAL 3,878,051

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%

The State of Obamacare in Oregon 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 27%

All Individual Market Plans 27%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 430,085 TOTAL 430,085

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 8% TOTAL 8%

The State of Obamacare in Pennsylvania 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 53%

All Individual Market Plans 32%

State Population with Few Insurance Choices One Exchange Insurer 852,994

Two Exchange Insurers 6,409,506 TOTAL 7,262,500

Counties with Few Insurance Choices3 One Exchange Insurer 18%

Two Exchange Insurers 49% TOTAL 67%

The State of Obamacare in Rhode Island 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 1%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 1,055,173 TOTAL 1,055,173

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in South Carolina 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 29%

All Individual Market Plans 27%

State Population with Few Insurance Choices One Exchange Insurer 4,832,482

Two Exchange Insurers 0 TOTAL 4,832,482

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%

The State of Obamacare in South Dakota 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 39%

All Individual Market Plans 37%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 853,175 TOTAL 853,175

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Tennessee 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 63%

All Individual Market Plans 56%

State Population with Few Insurance Choices One Exchange Insurer 3,190,257

Two Exchange Insurers 3,359,095 TOTAL 6,549,352

Counties with Few Insurance Choices3 One Exchange Insurer 77%

Two Exchange Insurers 23% TOTAL 100%

The State of Obamacare in Texas 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 18%

All Individual Market Plans 34%

State Population with Few Insurance Choices One Exchange Insurer 3,348,430

Two Exchange Insurers 7,870,226 TOTAL 11,218,656

Counties with Few Insurance Choices3 One Exchange Insurer 37%

Two Exchange Insurers 49% TOTAL 86%

The State of Obamacare in Utah 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 20%

All Individual Market Plans 31%

State Population with Few Insurance Choices One Exchange Insurer 142,947

Two Exchange Insurers 424,851 TOTAL 567,798

Counties with Few Insurance Choices3 One Exchange Insurer 45%

Two Exchange Insurers 31% TOTAL 76%

The State of Obamacare in Vermont 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 7%

State Population with Few Insurance Choices One Exchange Insurer 0

Two Exchange Insurers 626,562 TOTAL 626,562

Counties with Few Insurance Choices3 One Exchange Insurer 0%

Two Exchange Insurers 100% TOTAL 100%

The State of Obamacare in Virginia 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 10%

All Individual Market Plans 19%

State Population with Few Insurance Choices One Exchange Insurer 486,714

Two Exchange Insurers 1,970,650 TOTAL 2,457,364

Counties with Few Insurance Choices3 One Exchange Insurer 21%

Two Exchange Insurers 25% TOTAL 46%

The State of Obamacare in Washington 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

* HHS benchmark silver plan premium data not available for this state. 1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 * All Individual Market Plans 14%

State Population with Few Insurance Choices One Exchange Insurer 188,798

Two Exchange Insurers 564,072 TOTAL 752,870

Counties with Few Insurance Choices3 One Exchange Insurer 13%

Two Exchange Insurers 28% TOTAL 41%

The State of Obamacare in West Virginia 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 32%

All Individual Market Plans 16%

State Population with Few Insurance Choices One Exchange Insurer 595,988

Two Exchange Insurers 1,254,338 TOTAL 1,850,326

Counties with Few Insurance Choices3 One Exchange Insurer 42%

Two Exchange Insurers 58% TOTAL 100%

The State of Obamacare in Wisconsin 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 16%

All Individual Market Plans 36%

State Population with Few Insurance Choices One Exchange Insurer 4,522

Two Exchange Insurers 348,169 TOTAL 352,691

Counties with Few Insurance Choices3 One Exchange Insurer 1%

Two Exchange Insurers 21% TOTAL 22%

The State of Obamacare in Wyoming 2017

State Snapshot

National Snapshot

Average 2017 Premium Increase Counties with Few Insurance Choices Exchange Benchmark Silver Plan 22% One Exchange Insurer 32%

All Individual Market Plans 25% Two Exchange Insurers 36% TOTAL 68%

1 “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace,” Dept. of Health and Human Services, p. 20, October 24, 2016. https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf#page=20; “State Obamacare Premium Data,” Joint Economic Committee, November 1, 2016. https://www.jec.senate.gov/public/index.cfm/republicans/state-aca-data/. 2 A benchmark silver plan is the second-lowest cost silver plan on an exchange and is the basis for federal subsidy levels. 3 “Insurance Participation by County 2016 and 2017,” Kaiser Family Foundation; JEC Staff Calculations.

Average 2017 Premium Increase1 Exchange Benchmark Silver Plan2 9%

All Individual Market Plans 7%

State Population with Few Insurance Choices One Exchange Insurer 584,153

Two Exchange Insurers 0 TOTAL 584,153

Counties with Few Insurance Choices3 One Exchange Insurer 100%

Two Exchange Insurers 0% TOTAL 100%